摘要
目的探讨原发性甲状腺功能亢进症(简称甲亢)合并甲状腺癌的临床关系及诊断与治疗。方法回顾性分析我院1998年1月至2008年12月期间手术治疗的15例原发性甲亢合并甲状腺癌的临床资料,结合文献进行分析。结果本组15例均顺利恢复出院,原发性甲亢合并甲状腺癌发病率为2.56%(15/585),5例发生甲状腺结节;15例均施行了手术治疗,术后均无手术并发症发生;均获得随访,随访时间为9个月～10年,平均5.5年,均未发现甲亢或甲状腺癌复发或转移病例。结论原发性甲亢合并甲状腺癌术前诊断困难,多数靠术后病理诊断,合理的手术治疗效果较好,预后良好。
Objective To analyze the clinical relationship between primary hyperthyroidism and thyroid carcinoma,and diagnosis and treatment for the combination of the two.Methods The clinical data of 15 patients with primary hyperthyroidism complicated with thyroid carcinoma from January 1998 to December 2008 were retrospectively analyzed.Results Fifteen cases were smoothly discharged.The morbidity was 2.56%（15/585）of primary hyperthyroidism complicated with thyroid carcinoma.There were no operative complications.Five cases showed thyroid nodules and all cases were performed thyroidectomy.Neither hyperthyroidism nor thyroid carcinoma recurred during 9 months to 10 years（average 5.5 years）follow-up.Conclusions The diagnosis of primary hyperthyroidism complicated with thyroid carcinoma is still difficult to be made preoperatively and chiefly depend on postoperative pathology.Rational surgical treatment can result in good effectiveness and better prognosis.
出处
《中国普外基础与临床杂志》
CAS
2010年第3期267-269,共3页
Chinese Journal of Bases and Clinics In General Surgery
作者简介
【通讯作者】张清华，Email：zqh244@126．com张清华（1977年-），男，福建省莆田人，医学硕士，主治医师，主要从事普通外科方面的工作。
